Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 14977 | Date 26/10/2026 |
| Token No | SM/25-26/6052 26/10/2026 | Serial | 002 |
| Patient Name | Miss NANDINI PRADHAN | Contact No | 6289054883 |
| Address | 2 GOPAL GANGULY LANE | Age | 20 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||